Organization
NOW CHANGE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANELA PENA-MARTINEZ PSY.D. (CLINICAL PSYCHOLOGIST)
(754) 304-6378
Entity
Organization
Contact information
Practice address
4801 S UNIVERSITY DR STE 303, DAVIE, FL 33328-3841
(754) 304-6378
Mailing address
8350 SW 41ST CT, DAVIE, FL 33328-2944
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
11/07/2023
Last updated
03/27/2025
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